CN201570170U - Tracheotomy training human body model - Google Patents

Tracheotomy training human body model Download PDF

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Publication number
CN201570170U
CN201570170U CN2009202560591U CN200920256059U CN201570170U CN 201570170 U CN201570170 U CN 201570170U CN 2009202560591 U CN2009202560591 U CN 2009202560591U CN 200920256059 U CN200920256059 U CN 200920256059U CN 201570170 U CN201570170 U CN 201570170U
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China
Prior art keywords
human body
tracheotomy
body model
tracheae
model
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Expired - Fee Related
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CN2009202560591U
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Chinese (zh)
Inventor
金桂兰
曾莉
朱燕
陈小宁
李长吉
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Nanjing University of Chinese Medicine
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Nanjing University of Chinese Medicine
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Priority to CN2009202560591U priority Critical patent/CN201570170U/en
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Abstract

The utility model discloses a tracheotomy training human body model, in particular to a simulation human body model. A tracheotomy longitudinal incision and a tracheotomy transverse incision in decussation shape are correspondingly arranged on the second to fourth trachea rings of a neck part of the simulation human body model, wherein incisions correspond to a safety triangle zone. A dissection structure of the simulation human body model is clear and intelligible, the layer by layer dissection structure from outside to inside comprises skin, fat, muscle, isthmus of thyroid, lamina pretrachealis and trachea, the skin, fat, the muscle, the thyroid, the trachea and the like of the simulation human body model of the utility model are prepared through adopting materials with high simulation degree. The dissection structure is clear and intelligible, and the simulation degree is high. Post-operation complications such as hemorrhage can be simulated, and ligation haemostasis can be demonstrated. A fore-tooth tenderness device and a trachea intubation alarm device can give out alarm to the implementation device of intubation operations, and can effectively help users to improve the operation level of tracheotomy.

Description

Tracheotomy training manikin
Technical field
The utility model relates to a kind of medical teaching instrument, particularly a kind of tracheotomy training manikin.
Background technology
Tracheotomy (traceotomy) is to cut the cervical part of esophagus tracheae, puts into the metal tracheal tube, with remove laryngeal dyspnea, breathing function is not normal or the lower respiratory tract ischesis due to dyspneic a kind of common operation.For example when the serious laryngeal obstruction that takes place to be caused by throat's inflammation, tumour, wound, foreign matter etc., it is more obvious to have difficulty in breathing, and the cause of disease can not be very fast during releasing, the tubotomy of promoting the circulation of qi in time.The perhaps lower respiratory tract ischesis that is caused by a variety of causes in order to inhale phlegm, keeps airway patency, can consider tracheotomy, as the severe craniocerebral injury, and burn of respiratory tract serious chest trauma, intracranial tumour, stupor, nerveous system pathology etc.During above-mentioned disease, because cough reflex disappears or be reluctant cough because of pain, ischesis is in lower respiratory tract, hinder alveolar gas exchange, the oxygen content of blood is reduced, gas concentration lwevel increases, after the tracheotomy, exhaustion secretion has improved the gas exchange of alveolar.Simultaneously, the postoperative inhaled air no longer through pharynx, throat, has reduced the respiratory tract dead space, has improved the pulmonary gases exchange, also helps the recovery of pulmonary function.In addition, after the tracheotomy also for using artificial assistor that convenience is provided.Perhaps foreign body in airpassage clamps down through endoscope and gets success, estimates to have got asphyxiation hazard again, or does not have the tracheoscopy equipment of execution and operator, can take out foreign matter through the tracheotomy approach.
But pneumoderm for example may take place, pneumothorax and mediastinal emphesema in the improper multiple complications that takes place probably of surgical procedure when long in the weak point outside the incision of trachea or skin incision are sewed up tension; When exposing tracheae, separate too much downwards, dark excessively, behind the damage pleura, can cause pneumothorax.Too much separate lamina praetrachealis in the operation, gas enters mediastinum along lamina praetrachealis, easily forms mediastinal emphysema.During operation, the Ruo Jiekai position is too high, the damage annular cartilage, and postoperative can cause subglottic stenosis.Incision of trachea is too little, when inserting tracheal tube tube wall is pressed into tracheae; Postoperative infection, granulation tissue hyperplasia all can cause tracheostenosis, cause difficulty in decannulation.Therefore incision of trachea operation on top of all is considerable for clinical medical and nursing personnel and medico.Some are also arranged now on the market for the model that medico and clinical medical and nursing personnel practise using, its weak point is: 1, the bionical effect of texture material is relatively poor; 2, do not have nerve and blood vessel during tracheotomy, can not cause that the student payes attention to; 3, can not control the dynamics and the degree of depth effectively during trachea cannula.
Summary of the invention
For the bionical weak effect that solves the prior art existence, the shortcoming that intubate can not effectively be controlled the dynamics and the degree of depth, the utility model provides a kind of tracheotomy training manikin, the anatomical structure clear and definite can effectively be controlled complication such as the intubate dynamics and the degree of depth, and artificial hand's postoperative hemorrhage.
The technical solution of the utility model is: a kind of tracheotomy training manikin, it mainly is an artificial human body model, neck the 2nd~4 annulus trachealis place correspondence of artificial human body model is provided with tracheotomy longitudinal cut and the tracheotomy cross sections that is cruciform shape, the otch correspondence be exactly the triangle of safety district, safety zone for tracheotomy, just suprasternal fossa is the top, and both sides nutator edge is the limit, and the hyoid bone plane is the delta-shaped region at the end.Should avoid damaging thyroid gland when operation causes hemorrhage.
The anatomical structure clear and definite of artificial human body model, anatomical structure successively from outside to inside comprises skin, fat, muscle, thyroid gland isthmus, lamina praetrachealis, tracheae; The skin of artificial human body model of the present utility model, fat, muscle, thyroid gland, tracheae etc. all are the very high material preparations of the fidelity of employing.
Be provided with detachable artificial tooth in the oral cavity model of artificial human body model, on detachable artificial tooth, be provided with front tooth tenderness device, also be provided with the emulation tongue in the oral cavity model, can simulate different situations patient's tongue picture.Starting point annular cartilage place at the cervical part of esophagus tracheae is provided with the trachea cannula warning device, and described front tooth tenderness device is provided with a pressure transducer, and force value is arranged between 4.9~9.8N.When operation, if press when surpassing the normal tolerance of human body, the sensor monitors of front tooth tenderness device is to giving the alarm.Described trachea cannula warning device is provided with an infrared ray glass light sensation inductor, and adult's trachea cannula training model can be arranged on the trachea cannula front end apart from front tooth 21~24cm place, when operation, if greater than 25cm, or when mispluging into oesophagus, warning then occurs.
Be filled with liquid in the blood vessel of artificial human body model, can show during incision hemorrhage, and can the teaching hemostasis by ligation.
The thyroid gland isthmus is at the 2nd~4 annulus trachealis place, and the cervical part of esophagus tracheae of tracheae partly upwards joins with annular cartilage, and down to suprasternal fossa, the cervical part of esophagus tracheae is made up of 7~8 shape of a hoof cartilaginous rings; Arteria carotis communis, jugular vein are positioned at nutator depths, both sides; Innominate artery, innominate vein cross the 7th~8 annulus trachealis antetheca.
Described tracheotomy training manikin also is provided with hyoid bone, thyroid cartilage, annular cartilage in the artificial human body model.
Beneficial effect:
1. anatomical structure clear and definite, the fidelity height.
2. can simulate postoperative complications such as hemorrhage, and can the teaching hemostasis by ligation.
3. front tooth tenderness device and trachea cannula warning device can provide caution to the enforcing location of intubate operation, can effectively help the user to improve the operant level of tracheotomy.
Description of drawings
Fig. 1 is an artificial human body model.
1. artificial human body models among the figure; 8. tracheotomy longitudinal cut; 9. incision of trachea cross sections.
Embodiment
As shown in Figure 1, the utility model provides a kind of tracheotomy training manikin, mainly be an artificial human body model, neck the 2nd~4 annulus trachealis corresponding position of artificial human body model 1 is provided with tracheotomy longitudinal cut 8 and the tracheotomy cross sections 9 that is cruciform shape;
Artificial human body model 1 anatomical structure successively from outside to inside comprises skin, manadesma, fat, muscle, thyroid gland isthmus, lamina praetrachealis, tracheae;
Be provided with detachable artificial tooth in the oral cavity model of artificial human body model 1, on detachable artificial tooth, be provided with front tooth tenderness device, also be provided with the emulation tongue in the oral cavity model, be provided with the trachea cannula warning device, be filled with liquid in the blood vessel of artificial human body model 1 at the starting point annular cartilage place of cervical part of esophagus tracheae.
The chest belly of artificial human body model 1 is provided with lamina praetrachealis, thyroid gland isthmus, tracheae structure, muscle is sternohyoideus and sternothyroid, the thyroid gland isthmus is at the 2nd~4 annulus trachealis place, the cervical part of esophagus tracheae of tracheae partly upwards joins with annular cartilage, down to suprasternal fossa, the cervical part of esophagus tracheae is made up of 7~8 shape of a hoof cartilaginous rings; Arteria carotis communis, jugular vein are positioned at nutator depths, both sides; Innominate artery, innominate vein cross the 7th~8 annulus trachealis antetheca.
Also be provided with hyoid bone, thyroid cartilage, annular cartilage, ring first film, pleura top in the artificial human body model 1.
Described front tooth tenderness device is a pressure transducer, and force value is 4.9~9.8N.
Described trachea cannula warning device is provided with an infrared glass light sensation inductor.
During simulated operation, near the suprasternal fossa place, cut skin and hypodermis along the throat median line from the thyroid cartilage lower edge.Organize before separating tracheae: separate sternohyoideus and sternothyroid with vessel forceps along center line, expose the thyroid gland isthmus, isthmus is upwards drawn, so that expose tracheae with little hook.In the detachment process, two drag hooks firmly should be even, makes operating forceps remain at center line, and often detect annular cartilage and tracheae with finger, whether remains on center position.Tracheostomize: after determining tracheae, in the 2nd~4 annulus trachealis place, choose out 2 annulus trachealises with the sharp knife sheet is bottom-up, point of a knife did not insert dark, in order to avoid stab tracheae rear wall and oesophagus antetheca, caused tracheoesophageal fistula.Insert tracheal tube: with curved forceps or incision of trachea expander, strut incision of trachea, insert size and be fit to, have the tracheal tube of Guan Rui, behind the insertion outer tube, the take-off pipe stamen is put into pipe immediately.Belt on the tracheal tube lies in neck, breaks into fast knot to fixedly secure.Use an opening pad of cotion at last between wound and sleeve pipe.

Claims (5)

1. manikin is trained in a tracheotomy, it mainly is an artificial human body model, it is characterized in that neck the 2nd~4 annulus trachealis place correspondence of artificial human body model (1) is provided with tracheotomy longitudinal cut (8) and the tracheotomy cross sections (9) that is cruciform shape;
Artificial human body model (1) anatomical structure successively from outside to inside comprises skin, fat, muscle, thyroid gland isthmus, tracheae;
Be provided with detachable artificial tooth in the oral cavity model of artificial human body model (1), on detachable artificial tooth, be provided with front tooth tenderness device, also be provided with the emulation tongue in the oral cavity model, be provided with the trachea cannula warning device at the starting point annular cartilage place of cervical part of esophagus tracheae, tooth rear portion on the oral cavity;
Be filled with liquid in the blood vessel of artificial human body model (1).
2. tracheotomy training manikin as claimed in claim 1, it is characterized in that, the chest belly of artificial human body model (1) is provided with lamina praetrachealis, thyroid gland isthmus, tracheae structure, muscle is sternohyoideus and sternothyroid, the thyroid gland isthmus is at the 2nd~4 annulus trachealis place, the cervical part of esophagus tracheae of tracheae partly upwards joins with annular cartilage, and down to suprasternal fossa, the cervical part of esophagus tracheae is made up of 7~8 shape of a hoof cartilaginous rings; Arteria carotis communis, jugular vein are positioned at nutator depths, both sides; Thyroid gland innominate artery and vein cross the 7th~8 annulus trachealis antetheca.
3. tracheotomy training manikin as claimed in claim 1 is characterized in that, also is provided with hyoid bone, thyroid cartilage, annular cartilage, ring first film, pleura top in the artificial human body model (1).
4. tracheotomy training manikin as claimed in claim 1 is characterized in that described front tooth tenderness device is a pressure transducer, and force value is 4.9~9.8N.
5. tracheotomy training manikin as claimed in claim 1 is characterized in that described trachea cannula warning device is infrared glass light sensation inductor.
CN2009202560591U 2009-12-02 2009-12-02 Tracheotomy training human body model Expired - Fee Related CN201570170U (en)

Priority Applications (1)

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CN2009202560591U CN201570170U (en) 2009-12-02 2009-12-02 Tracheotomy training human body model

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Application Number Priority Date Filing Date Title
CN2009202560591U CN201570170U (en) 2009-12-02 2009-12-02 Tracheotomy training human body model

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CN201570170U true CN201570170U (en) 2010-09-01

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105989770A (en) * 2015-02-17 2016-10-05 高小峰 Simulation model used for ureteroscope operation simulation
CN109416892A (en) * 2016-08-03 2019-03-01 Micoto技术株式会社 Medical simulator
CN109584696A (en) * 2018-12-19 2019-04-05 南方医科大学深圳医院 A kind of simulation upper tooth Pressure identification device
CN114842719A (en) * 2021-02-02 2022-08-02 医院管理局 Emergency surgery operation air flue operation simulation device

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105989770A (en) * 2015-02-17 2016-10-05 高小峰 Simulation model used for ureteroscope operation simulation
CN109416892A (en) * 2016-08-03 2019-03-01 Micoto技术株式会社 Medical simulator
CN109584696A (en) * 2018-12-19 2019-04-05 南方医科大学深圳医院 A kind of simulation upper tooth Pressure identification device
CN114842719A (en) * 2021-02-02 2022-08-02 医院管理局 Emergency surgery operation air flue operation simulation device
CN114842719B (en) * 2021-02-02 2024-03-19 医院管理局 Emergency surgery airway operation simulation device

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C17 Cessation of patent right
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Granted publication date: 20100901

Termination date: 20131202